Individual
DENISE EGAN STACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
275 MILLWAY, BARNSTABLE, MA 02630-1102
(617) 872-0935
Mailing address
157 DROMOLAND LN, BARNSTABLE, MA 02630-1804
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
5258
MA
Other
Enumeration date
05/17/2017
Last updated
05/17/2017
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